No Slip and Fall Contract - Excel

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No Slip and Fall Contract - Excel Powered By Docstoc
					                                                     Job Safety Analysis Worksheet

Title of Job/Operation      Use of Drill Press                                        Date:                                        No.

Position /Title(s) of Person(s) Who Does Job                                          Name of Employee Observed

                                                                                     Analysis Made By

Department


Section                                                                             Analysis Approved By

Sequence of Basic Job Steps                          Potential Accidents or Hazards                  Recommended Safe Job Procedures
1. Check press out for under-           1a. Could get caught.                                 1a. Check it out so you will know what
   standing of proper operation.                                                                  you are doing.



2. Right speed.                         2a. Too fast could get away or get hot.               2a. Know the right speed for what you are
                                                                                                  drilling. Check chart.



3. Have equipment clamped down          3a. Could get away and strike someone.                3a. Have good drill press clamp so it cannnot
   or in vise pod. Drill bit sharp.          If bit is not sharp it could break bit and           turn. Make sure bit is sharp.
                                             hit you or get hot.



             1. Struck By (SB)                       5. Caught On (CO)                                     9. Fall To Below (FB)
             2. Struck Against (SA)                  6. Caught In (CI)                                    10. Overexertion (OE)
             3. Contacted By (CB)                    7. Caught Between (CBT)                              11. Exposure (E)
             4. Contact With (CW)                    8. Fall-Same Level (FS)
Sequence of Basic Steps                 Potential Accidents or Hazards           Recommended Safe Job Procedures
4. Use cutting oil or turn on   4a. Bit could get hot and burn you.        4a. Put oil on bit as bit is turning.
   cooling pump.


5. Clean area.                  5a. Someone could slip in oil.             5a. Clean oil and shavings up. Pick up drill
                                                                                bits and return to stockroom.



6. Have gloves to check up      6a. Burn and cut hand. Key left in chock   6a. Tighten securely. Remove chock key.
    work piece.                     may fly out. Stack may become loose.        Make sure chock key is spring loaded.
Sequence of Basic Job Steps           Potential Accidents or Hazards   Recommended Safe Job Procedures




           1.   Struck By (SB)        5.   Caught On (CO)                  9. Fall To Below (FB)
           2.   Struck Against (SA)   6.   Caught In (CI)                 10. Overexertion (OE)
           3.   Contacted By (CB)     7.   Caught Between (CBT)           11. Exposure (E)
           4.   Contact With (CW)     8.   Fall-Same Level (FS)
Sequence of Basic Job Steps           Potential Accidents or Hazards   Recommended Safe Job Procedures




           1.   Struck By (SB)        5.   Caught On (CO)                  9. Fall To Below (FB)
           2.   Struck Against (SA)   6.   Caught In (CI)                 10. Overexertion (OE)
           3.   Contacted By (CB)     7.   Caught Between (CBT)           11. Exposure (E)
           4.   Contact With (CW)     8.   Fall-Same Level (FS)
Sequence of Basic Job Steps         Potential Accidents or Hazards   Recommended Safe Job Procedures




           1. Struck By (SB)        5. Caught On (CO)                    9. Fall To Below (FB)
           2. Struck Against (SA)   6. Caught In (CI)                   10. Overexertion (OE)
           3. Contacted By (CB)     7. Caught Between (CBT)             11. Exposure (E)
           4. Contract With (CW)    8. Fall-Same Level (FS)
Sequence of Basic Job Steps         Potential Accidents or Hazards   Recommended Safe Job Procedures




           1. Struck By (SB)        5. Caught On (CO)                    9. Fall To Below (FB)
           2. Struck Against (SA)   6. Caught In (CI)                   10. Overexertion (OE)
           3. Contacted By (CB)     7. Caught Between (CBT)             11. Exposure (E)
           4. Contract With (CW)    8. Fall-Same Level (FS)
Sequence of Basic Job Steps         Potential Accidents or Hazards   Recommended Safe Job Procedures




           1. Struck By (SB)        5. Caught On (CO)                    9. Fall To Below (FB)
           2. Struck Against (SA)   6. Caught In (CI)                   10. Overexertion (OE)
           3. Contacted By (CB)     7. Caught Between (CBT)             11. Exposure (E)
           4. Contract With (CW)    8. Fall-Same Level (FS)
Sequence of Basic Job Steps         Potential Accidents or Hazards   Recommended Safe Job Procedures




           1. Struck By (SB)        5. Caught On (CO)                    9. Fall To Below (FB)
           2. Struck Against (SA)   6. Caught In (CI)                   10. Overexertion (OE)
           3. Contacted By (CB)     7. Caught Between (CBT)             11. Exposure (E)
           4. Contract With (CW)    8. Fall-Same Level (FS)
Sequence of Basic Job Steps         Potential Accidents or Hazards   Recommended Safe Job Procedures




           1. Struck By (SB)        5. Caught On (CO)                    9. Fall To Below (FB)
           2. Struck Against (SA)   6. Caught In (CI)                   10. Overexertion (OE)
           3. Contacted By (CB)     7. Caught Between (CBT)             11. Exposure (E)
           4. Contract With (CW)    8. Fall-Same Level (FS)

				
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